Individual
MARIA LAURA GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERPRETER/ TRANSLA
Contact information
Practice address
3208 WESLEYAN AVE., ROCKFORD, IL 61108
(779) 423-7331
Mailing address
3208 WESLEYAN AVE, ROCKFORD, IL 61108-7530
(779) 423-7331
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
1507
ZZ
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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